Organization Active NPI

Coast to Coast Healthcare Solutions, Inc

  • Nursing Care Agency
  • Miami, FL
National Provider Identifier
1194842229
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
COAST TO COAST HEALTHCARE SOLUTIONS, INC
Practice address
561 NW 183Rd St
Miami, FL 33169-4469
Phone
(305) 999-9295
Fax
(305) 999-9259
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Judy Jackson, MSN, ARNP
Title
Administrator
Phone
(305) 999-9295

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211096 FL
Home Health Agency 251E00000X 30211118 FL
Nursing Care Agency 251J00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

561 NW 183Rd St
Miami, FL 33169-4469

Mailing address

561 NW 183Rd St
Miami, FL 33169-4469
Phone (305) 999-9295

Other identifiers 2

IdentifierTypeStateIssuer
110860700MedicaidFL
687228001MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Coast to Coast Healthcare Solutions Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

561 NW 183rd St
Miami Gardens, FL 33169
Phone (305) 999-9295

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1194842229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-999-9295",
            "fax_number": "305-999-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-999-9295",
            "fax_number": "305-999-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-999-9295",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, ARNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211096",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211118",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110860700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687228001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.